Dr Carlo Carandang Anxiety Protocol eBook .pdf
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The Anxiety Protocol™ by Dr. Carlo Carandang
Anxiety & Depression 101
Everything You Need To Know!
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Table of Contents
Chapter 1 – Introduction...................................................
Chapter 2 – What Is Depression?........................................
Chapter 3 – What Is Anxiety?.............................................
Chapter 4 – Theories About The Causes Of Depression & Anxiety
Chapter 5 – How Doctors View And Treat Depression.............
Chapter 6 – Therapy To Treat Depression............................
Chapter 7 – Therapy Methods For Anxiety............................
Chapter 8 – Symptoms.....................................................
Chapter 9 – Helping Yourself Treat Anxiety And Depression....
Chapter 10 –Alternative Medicine........................................
Chapter 11 – The Future Of Depression And Anxiety Treatment
Chapter 1 – Introduction
Unless you have been lost at sea over the past ten years, you have
probably not only heard about depression and anxiety, but also heard
about them on a daily basis. You have also most likely watched
countless advertisements about this that appears to be a
h Depression and anxiety are nothing new. They have been
good buddies that have followed some folks around since the
beginning of time. It is just now we are free to talk about it.
Why are we free to talk about it now when psychiatry has been around
for nearly 150 years? Probably because there is a lot of money to be
made in treating these illnesses with pharmaceuticals. And
pharmaceutical companies want to sell drugs that are supposed to
cure depression and anxiety so that they can make money.
What are depression and anxiety? Are they diseases or just
weaknesses to which certain individuals fall prey? Those who are
proponents of modern psychology feel that they are diseases that
must be treated with medication and therapy. Those who are against
modern psychology feel that this is a state of mind that can be
overcome with strong will. Who is right?
This book will teach you not only about depression and anxiety and the
different levels of this disorder, but also a bit about the history of
depression, the different ways that they manifest themselves, how to
tell if you need treatment and many different ways to treat both
Most information that you read about depression or anxiety is created
to sell you a certain cure or idea regarding these matters. Very few
are objective when it comes to their reporting. Most will be slanted
one way or another. If you read information from a pharmaceutical
company, for example, they will tout the different medicines that are
available for depression and anxiety. Then there are the all natural
cures that will tell you how dangerous medication is.
Then there is this book. This is you all comprehensive book about
depression and anxiety. Here you will learn everything there is to
know about depression and anxiety in easy to understand language.
You will also visit with some people who have suffered with depression
and anxiety and see how they helped themselves. By learning all of
the facts about depression and anxiety, you will be better prepared to
make a decision regarding your own treatment or the treatment of a
This book is not meant to give you medical advice. Depression can be
a serious issue that can require medical attention. This book is meant
to help you understand a bit about depression and anxiety and what
type of cures and treatments are available to you today.
Chapter 2 - What Is Depression?
Everyone gets the blues all of the time. No one is happy, happy, joy,
joy all of the time unless they are on drugs.
If you are like most
people, you have had days where you have felt depressed. You may
feel a little weepy or feel sorry for yourself. This can be related to an
incident that has happened in your life or for no particular reason.
Some say that we get depressed because of the weather. There is
even a mental disorder called
gSeasonal Affective Disorder
h that is
supposed to be triggered by lack of light.
Depression is tough to define. It can be different things for different
people. A person with a negative personality, for example, may seem
depressing a lot more than a person who is always positive. This is
why it throws you for a loop when the person who is always positive
jumps off a bridge and the person who is always negative is still
around. Depression is not always easy to spot and is different for each
Clinical Depression is a serious illness. People who are clinically,
severely depressed usually try to commit suicide at one point in their
lives Sometimes they succeed. They find it difficult to maintain jobs
or relationships. They tend to look at the glass half empty, which is an
old cliché but rings true with those who suffer from depression.
People who are severely depressed for long period of time are
diagnosed with clinical depression. This is one of the major reasons
why many people are disabled in the United States. Back pain and
clinical depression claim most of the disability claims in the US each
A person who is clinically depressed cannot
gsnap out of it.
h It can be
frustrating for loved ones to watch a person in this condition as the
natural instinct is to shake them and tell them to
gsnap out of it.
tell them how grateful they should be for everything that they have
and point to people who have it far worse. We may as well be talking
to a wall. The clinically depressed person cannot just decide to not be
depressed one day. They realize that there are others far worse off
than them, but it doesn
ft make them feel any better. This type of
h that is often given to the depressed can do more harm than
good. It makes the person who is suffering from depression feel as
though he or she is being self indulgent.
Some people take it a step farther and accuse the depressed person of
h This is also damaging to the psyche of a
depressed person, particularly because depression is so closely related
to self esteem issues.
Depression comes in many different forms for each individual. It will
most likely manifest itself by making a person who suffers from this
illness lethargic and not interested in doing every day things. The
person who suffers from depression may not like to do anything. They
may sleep too much or not at all. They may feel angry and lash out at
people a lot of the time. They may also feel angry with themselves.
In some cases, a person will go through the motions of their every day
life without no joy. They seem almost like an empty shell. They look
for any type of relief from this state that they can get, which is one
reason why so many people abuse drugs and alcohol.
You may or may not realize that someone is suffering from depression.
A person may appear listless and not have any energy or they may put
on a really good front. Two sad cases of people who had depression
are Marilyn and Jimmy.
Everyone used to call Marilyn
gThe Grim Reaper.
h She was always
dark and moody. She used to talk about death a lot of the time and
also drank to excess. She went from doctor to doctor to try to get
help for her depression.
Marilyn used to say that depression was like a dark cloud that followed
her around. If you knew Marilyn, you could almost see the cloud. She
walked slumped over and never seemed happy. Even after she began
seeing the doctor for severe depression, she still never seemed to
fs family said that she had been depressed most of her life.
fs mother had committed suicide when Marilyn
was a little girl. Apparently, her mother was also clinically and
When she was 30 years old, Marilyn took an overdose of barbiturates
that had been prescribed for anxiety and washed them down with
whiskey. A friend found her body the next day after phone calls went
unanswered. None of her friends or family was that shocked that
Marilyn killed herself. She didn
ft even leave a note.
Jimmy was one of the most popular kids in high school. He was a
gifted athlete who had a full scholarship to his dream college. He had
a ton of friends in school and a girl who he also liked. All his life,
things seemed to come easy to Jimmy. He exceeded at sports which
made him well liked throughout his school career. It also made his
parents very proud of him.
fs parents had just gotten divorced after a long and strained
marriage. Jimmy and his sister were both upset about the divorce and
missed their father who had moved out of the family house. But
Jimmy appeared happy on his last day of school, the day before high
Looking back on that day, most of his friends realized that they had
been left clues. They just didn
ft pick up on them. That day, when
Jimmy went home, he parked his car in the garage and left it running
while shutting the garage door. His sister was at a friend
Jimmy knew she was going to be gone and that his mother was at
work. He knew no one would find him until it was too late and he was
Jimmy left a note. It told his parents that he had been depressed for
some time and that his suicide had nothing to do with the divorce. He
felt that he had had a good life and, at the age of 17, felt that it was
time for him to
The news of the suicide devastated Jimmy
fs family as well as his
friends. The entire school was affected. Thousands of people went to
the wake where his stunned parents sat in disbelief. His sister, who
found his body, was also there. The entire family was in shock as was
No one saw it coming.
The sad thing was that Jimmy
fs school as counselors. They have
classes and seminars about depression. They have teachers that are
taught how to look for
h The kids have access to
counseling whenever they want it. Jimmy was the fifth student to kill
himself in the last four years at the school.
Depression is not always evident. There are people who walk around
like Marilyn all of the time but have no intention of ever killing
themselves. There are people who appear to have everything going
for them and then suddenly do something drastic, like Jimmy. You can
Only the person who is experiencing depression can help themselves.
Parents of a person who is depressed can take them to the doctor and
the doctor may even prescribe medication, but if the young person will
not take the medication, or, when they reach a certain age, refuse to
take the pills, they cannot be helped. They may even, like Jimmy,
realize that there is a lot of attention placed on depression and decide
to hide it so that no one finds out.
Contrary to what you may think, not everyone who suffers from
depression has suicidal thoughts. Most just have thoughts of
emptiness and despair. They don
ft want to die but don
f want to live,
either. They may try to get help for themselves, like Marilyn, or may
deny that there is anything wrong at all with them, like Jimmy.
In short, depression has many different forms and takes on a different
meaning for each person. No one is sure why some people suffer from
chronic depression and others do not. Most of us, however, at one
time in our lives, will deal with depression of some sort.
How you deal with depression is up to you. Hopefully, the more you
realize that it is an illness that can be treated by a number of different
ways, you will try to fight the depression and not give in to the dark
feelings that may overpower you.
Chapter 3 - What Is Anxiety?
Whereas depression tends to make someone lethargic and not feeling
like they want to do anything, anxiety makes them jumpy, nervous
and in a state of fear. Anxiety is fear of the unknown. It is easy to
put a name on this disorder. Anxiety disorder manifests itself in a
variety of different ways. The root of anxiety, most psychiatrists
believe, is depression. People who are depressed often also
experience anxiety. These two disease go together like peanut butter
Some of the ways that anxiety manifests itself include obsessive
compulsive disorder, anorexia nervosa, social anxiety disorder,
phobias, general anxiety disorder and others. These are all different
syndromes that also manifest themselves in different ways. And they
all have one thing in common - it is all about control.
People who are depressed often suffer from anxiety and vice versa.
Excessive worrying is one way that obsessive compulsive disorder
manifests itself. Usually a person with obsessive compulsive disorder
worries about germs or the house burning down or the doors being
unlocked. He or she performs rituals to give them a bit of control over
this worry. The worry is usually not about the doors being unlocked or
the house burning down but a fear of the unknown. People who
experience this illness tend to have more problems with obsessions
and compulsions during chaotic times in their life when everything is
out of control.
Anxiety often triggers panic attacks, or anxiety attacks. This can make
someone feel as though they are having a heart attack. They feel all
of the symptoms of a heart attack and usually end up in the
emergency room of the hospital. When they find that they have had
an anxiety attack, they are relieved. Until the same thing happens
Anxiety attacks can be really dangerous. Some people actually faint
during such attacks from hyperventilating. This can happen anywhere,
even when driving. Others may ignore true heart attack symptoms
thinking that they are having an anxiety attack. Anxiety also raises
the blood pressure of most individuals. It makes a person feel as
though they are crawling out of their skin.
Anorexia nervosa is actually a condition that stems from low self
esteem and depression and can be considered an anxiety disorder. A
person with this condition has the delusion that they are fat, even
though they are rail thin. They continue to starve themselves. Singer
Karen Carpenter suffered from this disease that eventually ended up
killing her. After the starvation, the body can no longer take the strain
and the heart gives out.
Anorexia is all about control, as are other eating disorders. A person
suffering from this disorder usually feels things spinning out of control
and looks for something she can control. Most of the people who
suffer from anorexia are young women, college or high school aged.
They usually start out a little overweight and someone makes a
remark about it. This does not do much for their self esteem which is
usually already fragile because they also suffer from depression. They
diet a little because of the hurtful remark and lose some weight. Viola!
They are in control of something! So they continue to diet.
Most psychiatrists will say that anorexia is a separate disorder, but it
has roots in anxiety and depression as well. Anxiety and depression
can usually be found in anyone with a mental disorder. They are
pretty much the parents of all mental health issues, but different
issues are more serious than others and the anxiety and depression
manifest themselves differently.
According to Dr. John Bolton of Palos Park, Illinois, depression and
anxiety usually are the result of low self esteem. A person who suffers
from these disorders sees themselves as worthless. The feeling of low
self esteem makes them feel powerless and causes depression. The
constant need for some sort of control over their environment and
feeling of being powerless to help themselves causes the anxiety.
They are afraid most of the time and cling to a certain fear in order to
h The fear, or phobia, is usually something that is imagined
in their head and in many cases, does not even exist.
Sigmund Freud, who is considered the father of modern Psychiatry,
felt that depression was the result of stifled creativity. Freud noted
that many depressed individuals were also highly creative. There are
those who agree with Freud
fs theory and those who take issue.
Today, the feeling is that people who suffer from depression have a
chemical imbalance in their brains that can be
h with artificial
serotonin that is given in pill dosage. People who have anxiety are
usually treated with tranquilizers by the medical community as well as
therapy. Most doctors today subscribe to the theory that people with
depression and anxiety have a physical illness that is due to a chemical
imbalance in their brain. They also believe there may be a genetic
Others disagree with this theory and believe it is the result of
low self esteem or problems in childhood. Still others blame society
and poverty for people feeling depressed.
In short, medical science has a lot of theories about why so many
people suffer from anxiety and depression, but no clear cut answers.
But there is one thing that you will rarely hear a doctor say, and that
Chapter 4 - Theories About The Causes of
Depression and Anxiety
As mentioned in the last chapter, there are disputes in the medical
field regarding the causes of depression and anxiety. Some
psychiatrists are very Freudian in their belief that this is all about
stifled creativity. Others blame genetic makeup. When we talked
about Marilyn, we noted that her mother also committed suicide. It
appears that mental illness, such as depression and anxiety, can be
Other doctors blame society. Poverty will cause depression. Take a
look at people who are living in poverty for most of their lives. Their
faces reflect a blankness as if they don
ft care about anything. You can
see it from their behavior. The drug use is rampant in poverty stricken
areas, as is alcohol use. Why do people think this occurs? It is
because the people who are so despondent, who are subjected to
misery on a daily basis, tend to look for a quick fix and begin to self
medicate. Our answer, as a society, is to arrest them for using drugs.
Some doctors actually blame drugs and alcohol for the depression and
anxiety. They are few and far between, While alcohol does nothing to
help those with depression and is, in itself, a depressant, it is the
symptom of the disease of depression, not the cause. Alcoholics, like
most addicts, suffer from low self esteem, depression and are looking
for some way to control part of their environment.
Then there are those in the psychiatric field who believe the illness is
physical. We have a chemical imbalance of serotonin in our brains
that must be alleviated by taking medication, called SSRIs. This
discovery coincides with the discovery of SSRI medication and
promotion by the pharmaceutical companies. There are no medical
tests that can determine if those with depression suffer from a
chemical imbalance in the brain. As it stands now, this is just another
theory as to why some people are prone to depression.
If you ask a priest or a religious person, they will tell you that
depression and anxiety are due to a lack of faith. People who have
faith in a particular religion seem to suffer less from depression and
anxiety. But is the religion the reason why they do not suffer or is it
their form of self medication? Just like some people get addicted to
alcohol and drugs and use them as a crutch to get through life, others
uses religion. This is a much less dangerous crutch to an individual,
unless they become fanatical to the point where they are causing harm
Some people believe we all have a degree of depression and anxiety.
That anxiety is the fear of the unknown that exists in all of us. The
thing we fear is death - the one thing that no one wants to face but we
all must sooner or later. It can also trigger depression. Freud also
said we had a death wish and a life wish. Perhaps depression is a
signal of our death wish.
There are many different theories on why people become depressed
and anxious. The theories will also dictate the cures or treatments. A
medical doctor, for example, will be quick to prescribe drugs. A
Freudian psychiatrist may be more apt to try a cognitive therapy.
Therapists, hypnotists, acupuncturists, herbalists, priests, doctors and
the guy at the car dealership all have different theories on depression
and all have an idea of how it should be treated.
Most people in the
United States, however, go to the doctor when they are feeling
Chapter 5 - How Doctors View and Treat
If you go to your family doctor and complain about anxiety and
depression, they will quickly whip out a prescription pad and prescribe
Xanax, Wellbutrin, Zoloft, Paxil, Klonopin or a number of other drugs
that are created to treat anxiety and depression. Years ago, before
ganxiety and depression
h were coined, people were
considered to be
h They had
were treated, at best, with Valium, which is a highly addictive
Today, people are no longer diagnosed as
h There are
dozens of different names for
h Instead of Valium,
they are diagnosed with Xanax or Klonopin. Both of these drugs are
equally addictive tranquilizers and not that far off from Valium. All of
these drugs are made to be used for short term but are usually given
for long term periods. People who are
h really like these pills
and soon become addicted. They build up a tolerance in the system
and the person taking them needs more and more to get the same
Years ago, strychnine was considered an appropriate treatment for
nervousness. Only in small doses, however, as too much of this lethal
poison might send you into violent convulsions and result in death
Strychnine was prescribed as late as the 1950s for anxiety.
Prior to that, we had good old heroin that was a great remedy for
nervousness. It was available in drug stores and was so effective at
relieving anxiety that they decided to use it as a children
If anyone got too lethargic after their dose of heroin for their anxiety,
they could always have a little cocaine, which was also available. This
was a great pick me up for most people.
Today, this almost seems comical. But we have to wonder if the drugs
that are being prescribed today will also be looked upon as dangerous
as those that were prescribed for these conditions even 50 years ago.
Many of the drugs we use today to combat anxiety and stress have
serous side effects such as liver damage resulting from long term use.
The scary thing is that we really don
ft know how the drugs will effect
us on a long term basis because they have not been around for along
period of time or tested on enough people to really make us
understand what we can expect from long term use.
Anti depressants are different than anti anxiety drugs. Anti depressant
drugs are usually prescribed with anti anxiety drugs but are meant to
be used on a long term basis. Some doctors will tell a patient that
they will need to take the drug
These drugs are called SSRIs. This stands for selective serotonin
reuptake inhibitor. These drugs are meant to rebalance the lack of
serotonin that is believed to be lacking in the brain of someone who is
suffering from depression. Prozac was the first of these to really make
a name for itself in the country. After Prozac came an entire host of
antidepressant drugs. Currently, the most widely prescribed SSRI
drug is Zoloft. These drugs are not only used to help with depression,
but are also supposed to be helpful in treating anxiety disorders that
often accompany depression.
There are side effects to using SSRI medication. They include vivid
and extraordinary dreams, dizziness, weight loss or gain, inability to
achieve sexual pleasure, panic attacks, and photosensitivity. You may
also find that you get tremors and nausea as well as headaches when
you initially start taking SSRIs. Once the drug is in your system, the
side effects seem to dissipate.
One of the most troubling of the side effects of long term use is the
potential for liver and kidney damage. This can be especially
troublesome if a young person is diagnosed with depression and
prescribed SSRIs, although this is rare as there has been a rash of
young people who have commit suicide after being prescribed drugs
like Paxil. For this reason, SSRIs are rarely prescribed in anyone
under the age of 18.
There is a question in the medical community as to the effectiveness of
these drugs. There are many critics in the medical community who do
not feel that SSRIs are effective at all in treating people with
depression and should never be given to people with mild depression.
There are those who feel that the drugs should be reserved for
extreme cases of clinical depression instead of given to people who are
upset because a boyfriend or girlfriend broke up with them.
There are also some questions regarding how useful the drugs are in
actually treating depression. Although they proved, in a clinical trial
with the FDA, that they were better than a placebo in treating
depression, there was not that much of a clinical difference.
Lawsuits have been filed due to some young people who have
committed suicide after being prescribed these medications. There
was also a noted lawsuit in which a man who killed 8 people with an
assault rifle while on Prozac. The family of the many sued the makers
of Prozac and the case was settled out of court.
There are many different types of depression drugs on the market
today. If you have been diagnosed with clinical depression, your
physician will most likely prescribe one of these drugs for you. You
should keep a journal of your feelings on each day and be aware that
it will take a couple of weeks for the drug to enter your system.
If you do not notice a difference, tell your physician. He or she will
most likely prescribe a different drug or a higher dosage. Anyone with
clinical depression, especially when there are thoughts of suicide,
needs to be treated by a medical doctor. Serious depression is
nothing to play around with. There are drugs that can help alleviate
Although we have talked about side effects of depression drugs and
how they might not be needed in cases of mild depression or even
moderate depression, people with serious depression need help.
Medication, in some cases, is the answer. Although we often hear
tragedy stories about people who have taken medication and done
something drastic, and we all imagine the pharmaceutical companies
rubbing their hands together looking to make a buck off of us, there
are many, many people who have found a new lease on life by taking
anti depressants. There are some cases in which these drugs do
wonder for some people. It is tempting to say that those who respond
well to the treatment most likely do have a chemical imbalance, most
likely inherited, that the drug can correct.
Other people with mild depression who were prescribed anti
depressants are very vocal speaking out against the drugs. The
withdrawal from most anti depressants is anything but pleasant and
many people liken with a sensation of going out of one
fs mind. There
are scores of websites devoted to anti - anti depressant drugs. They
feature forums where people tell harrowing tales of being hooked on
anti depressants and how they had to get off of them.
The decision to go on anti depressants should be one that you make
with your doctor. Realize that a lot of the information on the internet
and that you read regarding anti depressants is either pro
pharmaceutical or anti pharmaceutical. There is a movement that is
against pharmaceutical companies because they are big business and
assumed to be corrupt. Try to make up your own mind whether anti
depressants are right for you.
If you are suffering from severe depression and have any thoughts of
suicide or harming others, seek immediate medical care. There is help
available for you that will immediately make you feel better.
Anti Anxiety drugs, unlike anti depressants, are not meant to be taken
over a long term basis. They are highly addictive and are usually
sedatives. They include Xanax and Klonopin to name a couple.
Valium was their predecessor, but it is not widely prescribed. All can
be considered tranquilizers, although this term is not used any longer.
The appropriate phrase is
ganti anxiety medication.
Unlike anti depressants, most anti anxiety drugs give instant relief.
They have a calming effect that is very easily to get used to. Many
critics of anti anxiety medication refer to them simply as
gbooze in a
h This is because they tend to have the same effect as drinking
only without the hangover.
Like alcohol, anti anxiety drugs are also very addictive. Very
addictive. They also create a tolerance in your system, also like
alcohol. You have probably heard of people building up a tolerance for
alcohol. This refers to the fact that you tend to need to take more and
more of the drugs in order to get the same effect. This builds up over
a gradual period of time.
The trouble with taking anti anxiety drugs is the addictive quality of
the drugs as well as the tolerance build up. It does not take long
before someone is abusing these drugs. When a person who is
addicted to tranquilizers runs out of the drug, they will resort to all
sorts of means to get the drugs. This includes even going on the black
market or buying them on the internet. This can be a dangerous
practice, not to mention expensive.
Other ways that people get addictive anti anxiety drugs is to doctor
hop. This entails going to more than one doctor and asking for
prescriptions. You then take the prescriptions to various pharmacies
to have them filled. You are very concerned that you do not want to
run out of the prescription so you make sure that you stockpile them.
Another dangerous activity of those who are addicted to anti anxiety
drugs is the habit many have of mixing alcohol with the pills.
alcohol sometimes will enhance the effects of the pills so that they are
more potent. The mixture of alcohol and barbiturates have led to
more than one death.
One of the problems with mixing alcohol and pills is that you forget
how many pills you took and don
ft realize how much alcohol you are
drinking. Anti anxiety medication has an effect that is similar to
alcohol. Your reflexes slow down. Your brain gets fuzzy. Your
coordination is off. You are warned not to drive or operate heavy
machinery when taking these drugs.
Withdrawing from the pills can give you greater anxiety than when you
began. It is a paradox. You withdraw from something that is
supposed to have cured you from anxiety only to get worse symptoms
of anxiety than before you even started. Withdrawal from drugs such
as Xanax can be like a roller coaster ride through hell and back. It is a
tough habit to break.
Most doctors will advise weaning you off of the drug slowly. This is
easier said than done as it requires discipline that the person who is,
by now, a bona fide drug addict, does not have. You are better off to
have a friend help you wean yourself off of the drugs. Going cold
turkey is the worst way to rid yourself of the habit of anti anxiety
medications, but once they are out of your system, you should begin
to lose the anxious feeling.
Being addicted to anxiety medication can almost be as bad as having
anxiety. In this case, the cure is sometimes worse than the disease.
Chapter 6 - Therapy To Treat Depression
If you visit your family doctor and ask for something to help you over
your depression, he or she will most likely give you Zoloft.. They will
ask you why you are depressed and you can say that you didn
the outcome of the last season of American Idol and they will write
you out a prescription.
fs take a lot of heat for being prescription handy. But they are
only doing the job that the legal field has trained them to do. See, if
you go into the doctor
fs office and complain about being depressed
over American Idol and the doctor tells you to get a grip on yourself
and dismisses you without a prescription and you go home and hang
yourself because of American Idol, the doctor is liable for a lawsuit.
Because medical protocol requires a doctor to offer medication to any
patient who presents complaining of depression.
If your doctor is a good family doctor, he or she will suggest that you
speak to a therapist about your depression. He or she may also want
to get you out of their office as soon as possible and suggest that you
see a psychiatrist. Your doctor is not telling you this because he or
she thinks you are crazy and need to be committed, but simply
because he or she does not specialize in mental health issues.
Before we go any further, you need to understand the difference
between a psychiatrist, a psychologist, a counselor and a therapist.
A psychiatrist is a medical doctor. He goes to medical school and has
an M.D. He then decides to specialize in mental illness. A psychiatrist
normally works in a hospital. He takes care of patients in mental
wards as well as those who have substance abuse problems.
The main reason why a person sees a psychiatrist is to get prescription
drugs. Because he is a medical doctor, he can prescribe drugs. The
idea of laying on a sofa talking about your mother while the
psychiatrist takes notes is something that you see in the movies. A
psychiatrist is very clinical. He may test you for diseases of the mind,
but will not want to hear how your brother taking your stuffed bunny
when you were seven ruined your life.
He will refer you to a
A psychologist is a step above a therapist. He or she usually has a
PhD in psychology. He or she did not go to medical school but
graduate school. Big difference is that they cannot prescribe medicine.
They are very in tune with mental health issues, however, and make
great counselors. The problem is that they charge too much money.
Most people opt for counselors.
Psychologists do a lot of court appointed work and work with children.
It is unlikely that you will be referred to see a psychologist to talk
about problems with your mother.
A therapist usually has a master
fs degree in psychology. He or she
can help you overcome your issues in whatever way he or she learned.
There are many different types of therapists and each of them practice
different therapy. Some of them are devotees to Dr. Freud. Others
think Freud was a crock. You have to shop around for the right
therapist that will offer you treatment that will adhere to your lifestyle.
A therapist will most likely come up with a treatment plan to help you.
They will want to see you regularly and you can talk to them about
everything - it is all confidential.
A therapist cannot prescribe drugs. They can, however, refer you to a
psychiatrist for medication.
A counselor is a lot like a therapist only they usually have a bachelor
degree. Some counselors, however, who specialize in such therapies
as child development, do have a master
fs degree. A counselor mostly
listens to your problems and allows you to see your own mistakes.
They will do a lot of
gwhat do you think about that
ghow do you
feel about when he does that.
h A counselor is an unbiased friend to
whom you can tell anything.
There is another person who you can see and that is an analyst. This
is a person who will tell you everything that is wrong with you and
why. They fall into the same category as the counselor except they are
a bit more abrupt and speak their mind instead of allowing you to
solve your own issues.
Your treatment will depend on the extent of your depression and
anxiety. Most people can see a psychiatrist once in a while for drugs
and a counselor to talk over their problems. Some will want therapy
so that they can learn ways to deal with their problems without drugs.
Again, everyone is different when it comes to their needs of treatment.
Take a look around and see what type of therapy or treatment is right
Chapter 7 - Therapy Methods For Anxiety
It is tough to treat depression with treatment. Talking about problems
can get a person to unleash their problems that are disturbing them,
but if you think that a few counseling sessions are going to cause
someone to make a life altering revelation and reveal all of the
problems of the past, you have watched
gThe Prince Of Tides
h one too
For the most part, there are behavior therapies that are taught in
therapy sessions that can teach you how to cope with depression and
treat anxiety. Your therapist may give you the following ideas on how
to cope with anxiety:
Write down the fear that you are having on a piece of paper. This
makes the fear real, and not just a figment of your imagination. Read
it and toss the fear in to the trash can. This is symbolic and an
attempt to toss away your fears.
A more effective method is to allow you to face your fears. Take the
example of Linda.
Linda was a 38 year old mother of two who was worried about breast
A friend of hers had breast cancer she became convinced that
she, too, probably had the disease. Instead of having her fears
alleviated by going to the doctor, she decided to dwell on it. The
worry took its toll on Linda, her job and her family.
After about three months of nearly constant worrying, Linda
could not take it anymore and she collapsed at work. Actually, Linda
had a panic attack which caused her to feel dizzy and actually faint.
The fact that she was not eating properly didn
ft help. She was rushed
to the hospital where she uttered her anxious fears. Although her
physical tests came back fine, she was urged to admit herself to the
psych ward so that they could help her.
In the psych ward, Linda had to undergo group counseling as well as
meet with a psychiatrist. The psychiatrist ordered a mammogram for
Linda and told her that she had to face this fear. She was trembling
so bad when she had the mammogram that a nurse had to hold her
hand. Finally, it was all over. The mammogram came back normal.
Linda felt like a new person.
She stayed in the psych ward for three days and found out that
perhaps the fact a good friend was facing a devastating illness forced
Linda to confront her own mortality and the fact that she didn
enough money put aside for her kids, if something happened to her.
She used the breast cancer as a cover for the real worry, which was
her concern for her children if something happened to her.
In addition to learning to break down her anxiety and try to get to the
root of the real problem, which was fear of the unknown, Linda also
faced one of her greatest fears. Now she was no longer afraid of the
mammogram. She goes every year for this potentially life saving test.
Therapy really helped Linda with her anxiety. Drugs might have
masked the anxiety disorder by getting her to relax, but she really
needed to get to the root of the problem.
The root of the problem of most people with anxiety is fear of the
unknown. Fear of death, fear of losing their job, fear of what it going
to happen in the future. Although we should be wise enough to realize
that there is no guarantee for the future and that anything can happen
on any given day, the idea that our lives are not totally under our
control scares the living daylights out most people. So what do they
do to gain control? They desperately look for some way that they can
control their environment.
When we think of someone trying to control their environment, we
might imagine someone who is either what is termed a
or someone with obsessive compulsive disorder who has to have
everything in a certain order in their home. We often refer to people
as anal retentive if they have to have things a specific way to keep
them from freaking out. Just about everyone suffers, to a degree, of
anxiety. Everyone fears the unknown. How we deal with the issue is
what puts some people on anti anxiety medication and others in the
church or the bar.
A good percentage of people with anxiety drink. This is an easy way
to self medicate and relieve the anxiety. It does not cure the anxiety,
it is just a mask. Like tranquilizers, booze can just make a person feel
calm for a moment but is not a cure. In fact, it can be downright
Taking a drink at a social occasion is one thing. Having to have a
drink because you are anxious and using booze as medication is
another. When combined with sleeping pills or anxiety medication, it
can be deadly.
Alcoholism has long since been recognized as a disease. Alcoholics
Anonymous is a very effective support group that has helped millions
of people get and stay sober over the years. Just about everyone is
familiar with the prayer recited at the end of the meetings.
the strength to change what I can change and accept what I cannot
This gets right to the root of the problem that most alcoholics have.
They are no different than anyone else suffering from anxiety and
depression except that they are choosing a different method of
medication. And long before there were tranquilizers, there was
booze. People have been self medicating themselves for ions. Alcohol
is the drug of choice when it comes to treating anxiety.
Alcoholics anonymous uses support and therapy to keep people sober.
Drugs are not used as a replacement for the booze. The secret is to
go to the meetings and continue getting the support of their fellow
alcoholics. This is simple therapy. It is not performed by a therapist
or counselor or anyone licensed in this field. It is performed by other
people who have also been through the same problem and give their
support to others so that they, too, can become sober and overcome
their addiction to alcohol.
There is a line in the film
h in which Paul Hogan
character is confused because he is introduced to someone who is
h He immediately assumes that she must be insane.
Coming from the outback in Australia to New York City, his character
felt that anyone who had to resort to psychiatry was, in his words, a
When it is explained to him that the woman was not crazy but just saw
a therapist to talk over her problems, his response was
have any mates?
And the answer was that g
we can all use more mates.
Freud went to his grave with one secret - that a psychiatrist was really
just a paid friend. Most of us give more credit to the profession of
counseling and therapy than that. While we do pay them to listen to
our problems, unlike a friend who will always be on our side and is
biased, a counselor will sometimes tell us things that we do not want
Therapy is much more effective at treating anxiety. Instead of just
treating the problem with pills or self medicating with booze, we need
to seek out treatment however we have to find it. Whether it is a
support group, a friend or a counselor, we need to be able to let out
our fears and not let them take over our lives. Otherwise, we are
simply masking the problem with medication and booze.
If you suffer from anxiety, instead of reaching for the tranquilizers,
reach for the phone and make an appointment to see a counselor.
Most will work on a sliding scale where you can pay what you can
afford. If you are in dire straits, call your local municipality and find
out if there is a program that gives treatment for those suffering from
You are far from alone. There are millions of people who are already
on medication and being treated for this disease. If you want to know
how many are not being treated but are self medicated, take a look at
your local tavern. Chances are you will find several people in the
tavern who have been there awhile and are treating their anxiety with
Chapter 8 - Symptoms
The symptoms for depression and anxiety are something that most of
us will experience at one point in our lives. They are very vague and
general symptoms. There are different levels of anxiety and
depression and they symptoms all relate to those levels.
Whether or not we need care to deal with the symptoms depends on
the severity of the symptoms and the cause. Some obvious factors
cause depression and anxiety. The condition is usually alleviated when
the stressor is removed.
Some people experience short term anxiety and depression upon a
major stressor in their life, even if it is a happy occasion. Any sort of
change can upset tranquility in a person
fs world. People feel
comfortable with routine and a break in routine can bring about
anxiety or depression. This, again, is short lived until the person gets
comfortable and settled into the new routine.
If, however, the symptoms are severe that the person does not want
to get out of bed in the morning, is having suicidal thoughts or is
experiencing depression or anxiety for more than a few weeks, it is
time to seek treatment.
Symptoms of depression include:
ｷInsomnia or over sleeping
ｷLoss of appetite or over eating
ｷLow or no sex drive
ｷLoss of interest in anything that they once took pleasure in
ｷLetting their appearance go
ｷApathy and just not caring about life
ｷA feeling of hopelessness
Severe depression would include suicidal thoughts. Many people who
experience depression exhibit one of all of these signs. If everyone
who ever had a bout of depression went on medication, the entire
nation truly would be a Prozac nation. Most of the time, these
symptoms gradually dissipate. If they persist, a person should seek
Suicidal thoughts should never be ignored, even if you believe that the
h just to get attention. You never want to be wrong
on a call like that, so you are better off to be safe than sorry.
friend or loved one threatens suicide, don
ft mess around - call 911.
Chronic depression lasts for more than a few weeks. It may be
alleviated with medication. It may come and go.
Depression that is triggered by an event, such as the loss of a loved
one or even the loss of a job, will usually resolve on its own. If it
persists, chances are that it triggered something that was already
Symptoms of Anxiety include:
ｷNervousness and jumpy
ｷTrouble sleeping - often has insomnia
ｷTrouble focusing thoughts
ｷMay develop compulsive habits to keep order
ｷTremors (in some cases)
ｷCan exhibit some destructive behavior (almost a mania in some
ｷExcessive worrying that is not logical
Anxiety is all about a need to control an environment that is out of
control. Again, it is usually triggered by depression. A situation
occurs that causes a person to become depressed. The body fights the
situation with anxiety. Anxiety, the fear of the unknown, wishes to
control the situation so that it cannot happen again.
Having anxiety and depression is very common. Getting treated for
these syndromes does not make you
h If so, the entire country
would be considered crazy. Millions are on medication for these
illnesses as it is and millions more are self medicating with booze and
While medications and therapy have proven to be effective in helping
people who suffer from anxiety and depression, there are some things
that they can do to actually help themselves. These natural means of
treating their condition can work wonders.
Chapter 9 - Helping Yourself Treat Anxiety And
This is in no way to insinuate that someone who is suffering from
severe anxiety or depression can be cured by taking a herbal
supplement or performing exercises or yoga. This book cannot state
enough that serious depression is a disease, a serious disease that can
prove fatal. A person should not treat themselves for severe
depression any more than they should try to remove their own
That being said, in the same respect, every single person who feels a
little down should not have to run to the doctor and get tranquilizers
and anti depressants. There are certain things that people can do to
stave off both depression and anxiety on their own. Here are some
tips on how to deal with depression and anxiety on your own. Even if
you are under medication, you can use these methods to help you
cope with depression and anxiety.
Establish a routine of some sort for yourself.
Remember that anxiety
comes from the fear of the unknown and loss of control and depression
has its roots in low self esteem. A routine is a safe harbor in an
unsafe world. A routine, even if it is as simple as watching a television
show every night, gives you some sense of security in your life. You
know that no matter how bad things get, you will still have that
routine in which to rely upon.
A woman named Sarah tells a funny story about when she gave birth
to her first child. Every night, she watched a specific program on
television that gave her a sense of security. She was anxious about
the impending birth of her first child as any new mother usually is.
She was also excited about the birth as she and her husband got the
nursery ready for the new baby.
Each night, she watched her favorite program on television and it gave
her a sense of routine. No matter how nervous she was about the
birth, she knew that she had something to look forward to each night
that gave her a sense of security. In short, she had a routine.
When her baby was born, things were naturally chaotic. Her baby was
a healthy little boy and Sarah was over the moon about him. But it
was scary taking care of him. She was now a mother who was
responsible for a life. She was happy to be a mother and loved her
baby, but was very anxious.
She stopped watching her favorite program because things seemed so
turned around in the house. A week after the birth, she managed to
put the television on and there it was - her favorite show. And she sat
down and watched.
Sarah soon began to again look forward to this program. She
experienced an upheaval in her life and relied on routine to get her
through this anxious time. The best part of this story is that Sarah
realized how important some sort of routine can be to the mental state
and also passed this on to her son and then later, her daughter.
fs children are grown and mentally healthy. Sarah, by
the way, no longer watches that particular program. She does,
however, continue to rely on routine as a way to alleviate anxiety.
Any doctor worth his or her salt will tell you to exercise if you have
depression or anxiety. Again, this can be used in conjunction with
medication, if medication is needed. Exercise not only helps you
physically, but also mentally.
Exercise naturally raises your serotonin
levels and gives you an energy boost as well. When you are
depressed, however, the toughest thing to do is to exercise. It will
work to help with your depression if you can just get into the habit.
Even if you just manage to take a walk or do some stretches, get
yourself in to an exercise routine. This is valuable information for
anyone, but particularly anyone who wants to alleviate depression.
This is not to say that you cannot still take medication, but exercise
can work well with the medication.
Exercise not only helps with depression, but anxiety as well.
Performing exercise puts you in control of your environment, which
can alleviate anxiety. Remember that lack of control makes us feel
anxious so you can gain some control in your life in a positive manner
if you exercise.
Some people with anxiety and depression find themselves becoming
addicted to exercise. You will find them at the gym all of the time and
they usually appear to be in excellent physical shape. Although
addiction in any form is bad, even to something as positive as
exercise, spending all of your time in the gym is better than spending
it at a bar. You just want to make sure that you do not neglect other
duties in your quest to stay fit.
Exercise is good for you physically and mentally. It will raise your
energy level, boost your metabolism and even your immune system.
On top of that, it will help you get into good physical shape. Most
people who are depressed care very little about their physical
appearance. Exercise helps them get into shape and gives them
something to strive for, especially if they need to lose weight.
This is the cure all for a lot of different ailments, including anxiety and
depression. If you are experiencing anxiety or depression on a small
scale, start jogging or exercising before you reach for pills. You will be
pleasantly surprised at the amazing effects.
Yoga and Meditation
Yoga is an ancient Eastern art that uses body poses and contortions to
give inner peace. Meditation is also practiced in Yoga. You should
keep in mind that you do not have to contort your body into impossible
positions in order to achieve the benefits of Yoga. You also do not
have to chant in order to meditate. Both of these ancient philosophies
rely on cleansing the body and the spirit through self discipline.
You can easily learn yoga by renting a video or DVD or even reading a
book. Yoga classes are available just about anywhere, even at your
local park department. Meditation can be practiced anywhere. You
just need about five minutes of peace and quiet and a chance to clear
your mind. Think of happy, peaceful thoughts and then rid your body
of negative energy. Meditation is, in itself, an art form but one that
can really work to help you over tough times in your life. Yoga and
Meditation are both used as methods of treating anxiety and
depression as well as other ailments.
Eat A Healthy Diet
Many in the medical community believe that people who suffer from
depression and anxiety have a deficiency in vitamins. You should not
only eat a healthy diet that is rich in B vitamins (such as dark colored
vegetables and fruits) but also Omega Fatty Acid which is found in fish.
You should also take a multivitamin to make sure that you are getting
all of the nutrients that you need. You may notice a change in your
moods right away if you take a multi vitamin. Make sure that the
vitamin that you take contains Omega 3 Fatty Acids.
Eating a healthy diet is good for anyone. Staying away from simple
carbohydrates will not only benefit you mentally, but physically as
well. This is not to say that you cannot have ice cream or sweets once
in a while. Actually, dark chocolate is beneficial to your health and can
be a mood enhancer all unto itself. But you should limit your portions
of these foods and make sure that you get a healthy allotment of the
foods that are beneficial to your health. Your new healthy diet will not
only benefit you mentally, but physically as well.
Skip the soda and alcohol and drink plenty of water. You should also
limit your caffeine intake. Have your morning coffee or tea, but switch
to water during the day. Drinking water will not only help you
maintain a healthy weight, but it will also boost your metabolism.
Water is a natural energizer. While some say drinking eight glasses of
water a day for health is a myth, most doctors will agree that water is
very beneficial to your health.
Drinking water will also flush out your system and keep your immune
system working properly. You will notice that you will fight off colds
easier by drinking more water. Instead of sweet drinks, which are
really only liquid candy and offer no nutritional value whatsoever,
Limit Alcohol and Don
Although some people who are anxious say that they smoke to
h smoking actually increases your blood pressure and
constricts your blood vessels. Smoking will make you wired, just like
caffeine, so it hardly
gcalms you down.
h In fact, you might find
yourself significantly more relaxed after you have kicked the habit.
Alcohol is okay in a social setting and a glass of red wine can be very
beneficial to your health. Like anything else, alcohol is fine in
moderation. But if you are using alcohol to
h your anxiety, you
are making a big mistake. While taking a
h when you have
a certain problem will not make you an alcoholic or even really harm
you, if you learn this behavior and take a stiff drink every time
something goes wrong in your life, you are headed for trouble. Alcohol
should be used only socially and never as a medication.
Human beings are social animals. We all need human contact. It is
probably no coincidence that the number of people with anxiety and
depression has risen so steadily as we have become more insular.
Now, with the internet, many people are working from home and not
interacting with other human beings at all. While the idea of going to
work in your living room in your pajamas is pleasing, it can also be
depressing if you never get a chance to meet or talk to other people.
There are plenty of groups and clubs that you can join that will give
you a chance to interact with other people. Find something that you
like to do and join a club. Go to your local library and join a book club.
Take a look at classes at your local community college or park
department. Do not rely on the internet as your sole source of
socialization. We all need human interaction to avoid becoming
Depression does tend to plague creative people more than others. Do
something creative to stave off depression. Whether it is writing,
painting, singing or even dancing, use your talents and enjoy your
creativity. Even if you use your time to decorate your house, you can
not only have some fun doing something that you enjoy, but also keep
depression and anxiety at bay.
If you do not know what to do, clean something. Pick a closet in your
home and clean it out. This will help you deal with your anxiety and
also get something done at the same time. Being active is the best
way to treat anxiety and depression. You have to force yourself to do
this, but once you start, you will notice a difference. Chances are that
you will start concentrating less on your anxiety and depression and
more on the closet or bathroom that you are cleaning. And when you
are finished, you will feel good about yourself.
Depression has its roots in low self esteem. In order to build up your
self esteem, try the tips outlined in this chapter. You can also use
affirmations on a daily basis. Try to banish negative thoughts from
your mind and keep looking at everything in a positive light.
help you treat depression and anxiety.
All of the ideas in this chapter are safe to do even if you are using
medication. You should consult with your doctor before starting a
strenuous exercise program, however. These ideas are all tried and
true ways that you can treat your own depression. If you get into the
habit of using all of them, chances are that you may be able to treat
your depression and anxiety without drugs.
Chapter 10 - Alternative Medicine
Some people will tell you never to take medication for anxiety or
depression and will recommend alternative medicine. This includes
herbal remedies, acupuncture, massage and aromatherapy to name a
few. Doctors will tell you that these do not work and proponents of
holistic medicine will tell you that the pharmaceutical companies are
running our lives.
How you treat depression is eventually up to you. You should
understand, though, that most alternative medicine to treat anxiety
and depression is used in cases where the condition is mild. Again,
people with severe depression or anxiety, to the point that it is
threatening their lives or the lives of others, should not hesitate to
seek medical attention.
For those with mild cases of anxiety or depression, you can try the
fs Wort is probably the most popular of all of the herbal
remedies used to treat depression and anxiety. St. John
fs Wort is
effective at combating mild depression and anxiety in a natural way.
It has been used for centuries in this regard and works very well. You
can purchase St. John
fs Wort online or in health food stores. It comes
in a capsule and in various different strengths.
There has been some controversy about whether St. John
fs Wort can
cause liver damage. There have been no conductive studies on this
ancient herbal remedy that indicate that it is harmful or that it can
actually help with depression and anxiety. Most medical doctors will
dismiss it as a crock while herbalists will swear by it. Many people
have found this herbal remedy to be very useful in treating their mild
depression and anxiety.
You should not take St. John
fs Wort if you are using any medication to
combat depression as it can have an adverse affect. St. John
should only be used in cases of mild to moderate depression and
Other herbal remedies that work to reduce stress include Chamomile
Acupuncture is an ancient healing art that pinpoints pressure points
and uses needles to cure pain as well as treat a variety of other
different types of ailments and mild conditions. There are some who
swear by acupuncture as an effective pain relief as well as a relief for
anxiety. The treatment sounds dreadful, but it is actually very
relaxing. Best of all, you will feel as though you are doing something
good for yourself by giving yourself some empowerment over your
There is no medical evidence for or against acupuncture in treating
anxiety and depression. This method of treatment has been used for
thousands of years as a cure for a variety of different ailments and is
still used today, so there must be something to it.
It will not hurt you
to try acupuncture, even if you are on medication for anxiety and
The need for massage has doubled in the past ten years and as a
result, massage therapy has become a big business. Years ago,
people conjured up the image of a sleazy red light massage parlor
when they thought about massage therapy. Today, however, this is a
respected profession and one that has proven to be very beneficial in
pain management. There are many different professional athletes who
have a full time massage therapist on staff.
Massage therapy will certainly not hurt you. To the contrary, it will
feel really good and relaxing. You should treat yourself to massage
therapy whether or not you have anxiety as it will relieve tension and
stress. While massage therapy certainly works wonders to relieve
physical anxiety and tension, it will not work to relieve the thought
process that is usually generated by anxiety. For this reason, massage
therapy works almost like a tranquilizer. It is a lot more expensive,
but a lot less harmful.
Aromatherapy is another Eastern healing art that has been around for
centuries. This is based on using essential oils that are derived from
herbs, barks, flowers, fruits or other organic matters and either
massaging them into the skin or inhaling them.
In order for aromatherapy to actually work, you have to make sure
that you are using pure essential oils. There are hundreds of products
on the market today that advertise to be
h that use
synthetic products. They are not true aromatherapy. True
aromatherapy uses 100 percent pure essential oils.
Some essential oils are actually toxic and should never be used.
Others are photo toxic. Most should never be used directly on the skin
as they can cause severe reactions. Lavender is one of the few
essential oils that is actually safe to use on the skin and is one that is
often used to treat anxiety and depression. You can use lavender as a
massage oil or put it into an infuser and inhale the fragrance.
The concept of aromatherapy is that the fragrance will be absorbed
into the bloodstream either through the skin or the lungs and begin
healing. Aromatherapy has been around for thousands of years and
can be very relaxing. It is usually practiced in a salon by someone
who is familiar with the art form.
Aromatherapy can also be practiced in the home if you have an
infuser. There seems to be a huge draw towards natural healing
products and aromatherapy is becoming a popular choice in the
alternative healing market.
Doctors will dismiss this idea as a crock,
but again, it has been around for thousands of years and is still widely
used, especially in the East. There might be something to this healing